GENERIC DISCOUNT FORMULARY | June 2017

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GENERIC DISCOUNT FORMULARY | June 2017

Generic Name

Brand Name

Strength

Antibiotic Amoxicillin Amoxicillin Amoxicillin Amoxicillin Amoxicillin Bid Amoxicillin Bid Ampicillin Cephalexin Cephalexin Clindamycin Penicillin VK Penicillin VK Sulfameth/Trimeth Sulfameth/Trimeth Sulfameth/Trimeth

Amoxil Amoxil Amoxil Amoxil Amoxil Amoxil Polycillin Keflex Keflex Cleocin Vcillin K Vcillin K Bactrim Bactrim DS Bactrim/Septra DS

250mg 500mg 125mg/5ml 250mg/5ml 400mg/5ml 200mg/5ml 250mg 250mg 500mg 150mg 250mg/5ml 250mg 400mg/80mg 800mg/160mg 800/160mg

Antifungal Fluconazole

Diflucan

150mg

AntiViral Acyclovir Acyclovir

Zovirax Zovirax

200mg 400mg

Arthritis/Pain Diclofenac Sod Ibuprofen Ibuprofen Ibuprofen Ibuprofen Indomethacin Indomethacin Meloxicam Meloxicam Naproxen Naproxen Naproxen

Voltaren Motrin Motrin Motrin Motrin Indocin Indocin Mobic Mobic Naprosyn Naprosyn Naprosyn

50mg 400mg 600mg 800mg 100mg/5ml 25mg 50mg 7.5mg 15mg 250mg 375mg 500mg

Asthma/Respiratory

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Albuterol

Brand Name Proventil

Strength 0.08%

Asthma/Respiratory/Antihistamine Albuterol Proventil Ipratropium Bromide Atrovent

0.08% 0.02%

Cholesterol Lovastatin Lovastatin Lovastatin Simvastatin Simvastatin Simvastatin Simvastatin Simvastatin

Mevacor Mevacor Mevacor Zocor Zocor Zocor Zocor Zocor

20mg 40mg 10mg 5mg 10mg 20mg 40mg 80mg

CNS Anastrozole Donepezil Donepezil Gabapentin Gabapentin Gabapentin Gabapentin Hydroxyzine HCL Hydroxyzine HCL Hydroxyzine HCL Hydroxyzine Pamoate Hydroxyzine Pamoate Lamotrigine Lamotrigine Lamotrigine Lamotrigine Levetiracetam Methocarbamol Pramipexole Di-HCl Pramipexole Di-HCl Pramipexole Di-HCl Pramipexole Di-HCl Pramipexole Di-HCl

Arimidex Aricept Aricept Neurontin Neurontin Neurontin Neurontin Atarax Atarax Atarax Vistaril Vistaril Lamictal Lamictal Lamictal Lamictal Keppra Robaxin Mirapex Mirapex Mirapex Mirapex Mirapex

1mg 10mg 5mg 100mg 300mg 400mg 10mg 25mg 50mg 25mg 50mg 100mg 25mg 150mg 200mg 250mg 500MG 1mg 1.5mg .125mg .25mg 0.5mg

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Pramipexole Di-HCl Primidone Quetiapine Quetiapine Risperidone Ropinirole Ropinirole Ropinirole Ropinirole Ropinirole Ropinirole Topiramate Topiramate Topiramate Topiramate Trihexyphenidyl Trihexyphenidyl

Brand Name Mirapex Mysoline Seroquel Seroquel Risperdal Requip Requip Requip Requip Requip Requip Topamax Topamax Topamax Topamax Artane Artane

Strength 0.75mg 50mg 25mg 50mg 4mg .25mg 1mg 2mg .5mg 3mg 4mg 50mg 100mg 200mg 25mg 2mg 5mg

Cough Montelukast Sod Promethazine Promethazine

Singulair Phenergan Phenergan

10mg 25mg 50mg

Diabetes Glimepiride Glipizide Glipizide Glyburide Micronized Glyburide Micronized Glyburide/Metformin Glyburide/Metformin Metformin Metformin Metformin (odor-free) Metformin ER Metformin ER Pioglitazone

Amaryl Glucotrol Glucotrol Glynase Glynase Glucovance Glucovance Glucophage Glucophage Glucophage Glucophage XR Glucophage XR Actos

1mg 10mg 5mg 3mg 6mg 2.5/500mg 5/500mg 850mg 1000mg 500mg 500mg 750mg 15mg

Eye Levobunolol

Betagan

0.50%

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Timolol Timolol

Brand Name Timoptic Timoptic

Strength 0.25% 0.50%

GastroIntestinal Dicyclomine Dicyclomine Famotidine Famotidine Lactulose Lactulose Metoclopramide Metoclopramide Metoclopramide Omeprazole DR Pantoprazole Pantoprazole Promethazine Ranitidine Zonisamide

Bentyl Bentyl Pepcid Pepcid Enulose Constulose Reglan Reglan Reglan Prilosec Protonix Protonix Phenergan Zantac Zonegran

10mg 20mg 20mg 40mg 10gm/15ml 10gm/15ml 5mg/5ml 10mg 5mg 20mg 40mg 20mg 12.5mg 150mg 25mg

Heart and BP Amlodipine Besylate Amlodipine Besylate Amlodipine Besylate Atenolol Atenolol Atenolol Benazepril Benazepril Benazepril Benazepril Bisoprolol/HCTZ Bisoprolol/HCTZ Carvedilol Carvedilol Carvedilol Carvedilol Clonidine Clonidine Clonidine

Norvasc Norvasc Norvasc Tenormin Tenormin Tenormin Lotensin Lotensin Lotensin Lotensin Ziac Ziac Coreg Coreg Coreg Coreg Catapres Catapres Catapres

2.5mg 5mg 10mg 100mg 50mg 25mg 5mg 10mg 20mg 40mg 5mg/6.25mg 10mg/6.25mg 25mg 12.5mg 3.125mg 6.25mg .1mg .2mg .3mg

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Clopidogrel Enalapril/HCTZ Enalapril/HCTZ Furosemide Furosemide Furosemide Guanfacine Guanfacine Hydralazine Hydralazine Hydralazine Hydrochlorothiazide Hydrochlorothiazide Hydrochlorothiazide Irbesartan Lisinopril Lisinopril Lisinopril Lisinopril Lisinopril Lisinopril Lisinopril/HCTZ Lisinopril/HCTZ Lisinopril/HCTZ Lisinopril/HCTZ Losartan Losartan Losartan Losartan/HCTZ Losartan/HCTZ Metoprolol Metoprolol Metoprolol Ramipril Ramipril Ramipril Sotalol Spironolactone Terazosin Terazosin

Brand Name Plavix Vaseretic Vaseretic Lasix Lasix Lasix Tenex Tenex Apresoline Apresoline Apresoline Hydrodiuril Hydrodiuril Microzide Avapro Prinivil/Zestril Prinivil/Zestril Prinivil/Zestril Prinivil/Zestril Prinivil/Zestril Prinivil/Zestril Prinizide/Zestoretic Prinizide/Zestoretic Prinzide/Zestoretic Prinizide/Zestoretic Cozaar Cozaar Cozaar Hyzaar Hyzaar Lopressor Lopressor Lopressor Altace Altace Altace Betapace Aldactone Hytrin Hytrin

Strength 75mg 10mg/25mg 5mg/12.5mg 20mg 40mg 80mg 1mg 2mg 10mg 25mg 50mg 25mg 50mg 12.5mg 75mg 10mg 20mg 40mg 5mg 2.5mg 30mg 20/12.5mg 20/25mg 20/25mg 10/12.5mg 25mg 50mg 100mg 50/12.5mg 100/12.5mg 100mg 50mg 25mg 2.5mg 5mg 10mg 80mg 25mg 1mg 2mg

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Terazosin Terazosin Torsemide Triamterene/HCTZ Verapamil Verapamil Verapamil

Brand Name Hytrin Hytrin Demadex Maxzide Calan Calan Calan

Strength 5mg 10mg 20mg 37.5mg/25mg

Mental Health Buspirone Buspirone Buspirone Citalopram Citalopram Citalopram Escitalopram Escitalopram Fluoxetine Fluoxetine Fluphenazine Imipramine Lithium Carbonate Lithium Carbonate Mirtazapine Paroxetine Paroxetine Prochlorperazine Prochlorperazine Risperidone Risperidone Risperidone Risperidone Risperidone Risperidone Sertraline Sertraline Sertraline Trazodone Trazodone

Buspar Buspar Buspar Celexa Celexa Celexa Lexapro Lexapro Prozac Prozac Prolixin Tofranil Eskalith Eskalith Remeron Paxil Paxil Compazine Compazine Risperdal Risperdal Risperdal Risperdal Risperdal Risperdal Zoloft Zoloft Zoloft Desyrel Desyrel

10mg 5mg 15mg 20mg 40mg 10mg 10mg 5mg 10mg 20mg 1mg 10mg 150mg 300mg 15mg 10mg 20mg 10mg 5mg 1mg 2mg 3mg 4mg .25mg .5mg 25mg 50mg 100mg 50mg 100mg

120mg 80mg

GENERIC DISCOUNT FORMULARY | June 2017

Generic Name Muscle Relaxants Cyclobenzaprine Cyclobenzaprine

Brand Name

Strength

Flexeril Flexeril

10mg 5mg

Other Chlorhexidine Gluconate Dexamethasone Oxybutynin Prednisone

Peridex Decadron Ditropan Deltasone

0.12% 4mg 5mg/5ml 2.5mg

Skin Hydrocortisone Hydrocortisone Triamcinolone Triamcinolone Triamcinolone

Hytone Cortdome Kenalog Kenalog Kenalog

2.50% 2.50% 0.03% 0.10% 0.10%

Vitamins/Nutritional Folic Acid Sodium Fluoride

Folic Acid Ludent

1mg .25mg

Womens Health Alendronate Alendronate Estradiol

Fosamax Fosamax Estrace

70mg 35mg .5mg